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HomeMy WebLinkAboutMechanical Permit 16. 0095 (2) 2 5 0 0 iS 0 o n 000000 m 0 > En n n a o 0 0 0 ■.71 ,- 7171m O $ g ■q k r k k 7J E s mitrijcEEk m zi m n© t � � k Z K -IK § B § 0 §� ? & 0 k 0) o z J z k CO ■ » .. - z 0 \ 0 > > S Ll m & § r o 3 a o k k '''l 2 m gl c 0 o 0 o o 0 r 2 _ 0) �� �Im� 7 2 f Xam m x , 2 ' e m ' TI § ■ §M § m p ki tli � 0 z . r§ko xi xi p \ c 2 0 a ■ z x x O- c. S2 0 . §§ O ci & . m 2 0 .,- 4. ...*' 2 0 . Cl) 0 , .�, 2 v" ■ . )000000 . • » z � � n ' o o o 2222 �& < ■ mm ■ Q q ; � m 1 p q A E » 2mzK ■ � z "4P E r � t z ■ -1r 0 71° CITY OF PRIOR LAKE Date Rec'd it - HEATING/AIR CONDITIONING/FIREPLACE PERMIT / v s vi r,f tffhnresoi I" 1.Pink File PERMIT NO. 2.Green City J6 L CO (Please type or print and sign at bottom) 3.Yellow Applicant / fic ADDRESS ZONING(office use) (e.scn D du , Cs, . 'a P- eisie) LEGAL DESCRIPTION(office use only) LOT oat( BLOCK.ool ADDITION 1-L r dor 3r.� n cld n. PID o250,.0300`1 O OWNER C1 (Name) �'l•t ykked t r�SS�r (Phone) 9 763-439-- SS/� (Address) (o S( a- Lioor-- ,e-k-'3 e; NE IDr.,dr L c z.e SS S-7 7-- APPLICANT (Name) CENTERPOINT ENERGY (Phone) 763-785-5404 (Address) 9320 EVERGREEN BL NW SUITE B COON RAPID AlL5543,3 (Contact Person) JOANN ZII N / (Phone) 763-785-5404 APPLICANT SIGNATURE -a, i, �.��� ;�i DATE o2 -/-/C, i APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION RIREPLACEMENT DALTERATIONS r FURNACE MAKE AND MODEL ear r\e •K SIC 1 LLQ O1 CY' (Z FUEL dv�`t 1/4.-rcd (�' ,,,s FLUE SIZE RETURN OPENINGS • INPUT `)O,OCO OUTPUT 5-'(/ dcyc) TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water echanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial &Multi Family I%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential, Heating&A/C(New Construction) $149.50 Residential,Additions&Alterati, ,, • Residential, Heating Only (New Construction) $64.50 Residential,AC Only $49.50 Cost$ L450,0° Building Permit# HEATING PERMIT FEE $ 9q.SO STATE SURCHARGE $ p'-09 TOTAL PERMIT FEE $ CO,S-CD This Application Becomes Your Building Permit When Approved PaidIll Receipt • No. � ' Building Official Date Date 2.". i. Mil By . All 24 hour notice for all inspections(952)447-9850 A 4646 Dakota Street S,E., Prior Lake,Minnesota 55372